HomeMy WebLinkAbout2852 NANTUCKET LN; ; CB140031; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit.
01-08-2014 . .. Permit No: C13140031
Building Inspection Request Line (760) 602-2725
Job Address: 2852 NANTUCKET LN CBAD
Permit Type: PME . . Status: ISSUED
Parcel No: 1674721700 Lot #: 0 Applied: 01/08/2014
Entered By: JMA
Reference #: Plan Approved: 01/08/2014
PC #: . Issued: 01/08/2014
Inspect Area:
Project Title: CASTAGNA: REPLACE FURNACE
SAME LOCAL
Applicant: Owner:
AIRMAXX, INC CASTAGNA JASON
STE B
1865 JOHN TOWERS AV 2852 NANTUCKET LN
EL CAJON CA 92020 CARLSBAD CA 92010
619 655 3010
Plumbing Fees $0.00.
Electrical Fees $0.00
Mechanical Fees $158.00
Other PME Fees $0.00
TOTAL PERMIT FEES $158.00
Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: $0.00
FINAL APIPROWAL
Inspector: T Date: ________ Clearance:
NOTICE: Please take NOTICE that approval of your project includes the'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as fees/exactions.' You have 90 days from the date this permit was issued to pjtest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. FailUre to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNiNG OENGINEERING DBUILDING DFIRE DHEALTH ,DHAZMAT,APCD I
Building Permit Application CE2 )
1635 Faraday Ave., Carlsbad CA 92008
'CITY OF Ph: 760-602-2719 Fax: 760-602-8558
CARLSBAD email building@cadsbadca.gov
www.carlsbadca.gov .
Est. Value
Plan Ck1Deposit
Date %., . ISWPPP • I
JOB ADDRESS I - £Z 1w 4 I APN
-. -
.T/PROJECT # LOT # PHASE # C OF UNITS # BEDROOMS C BATHROOMS TENANT BUSINESS NAME - CONSTR. TYPE OCr GROUP
DESCRIPTION OF WORK: include Square Feet ofMioctedArea's) :
cAc5- C44Ait J47
EXISTING USE . PROPOSED USE GARAGE• (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES EP. NOI
AIR CONDITIONING
YES t:JNo EJ
FIRE SPRINKLERS
NO
APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
CITY . STATE ZIP CITY STATE ZIP
PHONE . FAX PHONE FAX
EMAIL : EMAIL
PROPERTOWNE rw.. A CONTRACTOR BUS. NAME A I rLu,&,i4c
ADDRESS Z2- •. ADDRIt.5—
ST E Zip CITY f20g0
PHONEç q9 FAX PH
So
EMAIL '. . . . EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC.# STATE LIC.# - . CLS c'2C)_:-3 3'3'-I-a Cr1? BUS. LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct4 alter, improve, demolish or repair any structure, prior to its issuance, also requires the
applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commendingwith Section 7000 of Division 3 of the
Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant-to a
civil penalty of not more than five hundred dollars ($500)). . • • • •
Woitrers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
'Eli have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is' issued.
have and will maintain
ees '
ection 700 of the Labor Code, for the perform rkers' compensationInsurance carder a
Policy No..2n)MV 36TEp'lration Date'. numb
Thi section need not be completed if the permit is for one hundred dollars ($100) or less. • .. .
Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and CMI fines up to one hundred thousand dollars (8,100,000), In
addition to the cost of compensation, damages as provided for in oall of the Labor code, interest and attorney's fees.
£ CONTRACTOR SIGNATURE )L_—' DAGENT DATE '
I hereby affirm that am exempt from Conbctàr's Ucense Law for the following mason: - - - - • - . -
I as owner of the property or my employees with wages as their sole compensation will do the work and the structure is not Intended or offered for sale (Sec 7044 Business and Professions Code The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for -
sale. if, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
[j I, as owner of the property, arnexclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or Improves thereon, and contracts for such projects with contractor(s)licensed pursuant to the Contractor's License Law). : • • - - -
[J I am exempt under Section • - • Business and Professions Code for this itéaon:
-
- 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes [—]No - - -• . -
2. I (have! have not) signed an application for a building permit for the proposed work. - . - - • . - -
- •
3.1 have contracted with the following person (firm) to provide the proposed construction(include name address! phone/contractors' license number): • • • - 4. I plan to provide portions of the work, bull have hired the following person to coordinate, supervise and provide the major work (include name/address! phone /contractors' license number):. -
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name/address/phone/type of work):
-
..PROPERTY OWNER SIGNATURE . - - - - DAGENT DATE . -
= 3
Is the applicant or future building occupant required to submit a business plan, acutely hazaidàus matedalsregistralion form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? 5,.Yes No
Is the applicant or future building occupant required to obtain apemlit from the air pollution control district or air quality management district? was jNo .
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? - Yes No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
- I 7
thereby affirm that there is a construction lending agencyforthe perfOrmance of the work this permit is issued (Sec 3097 (i) Civil Code).
ig Lender's Name i
"OrM - E I Lender's Address I F I
F
e
IceiltiflithitIlhaveresdtheappllcatlonandslatethattheaboveInftmaflonIscenectandthattheInformationontheptensisanate. agree to a
authorw purposes.I ALSO AGREE TOSAVE, INDEMNIFY, AND KEEP, HARMLESS THE CITY OFCARLSBAD
AGAINST ALL LIABILITIES,, JUDGMENTS, COSTS AND EXPENSES WHICH MAY INANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrr.
OSHAM OSHA pem requked furexcavations over 50' deep and demolition or construction of structures over 3stories k height. .
EXPIRATION: Every permit issued by the Building OSal under the provisions of this Code shall expire by limitation and become null and void if the building orork authorized bysuch permit is not commenced witthn
18Odays*omthedateofsuiorifthebutdkrgororkauthodzed issuspendedoraandonedalany time after theorkis commenced forapedodof180 days (Sedion 10&4.4UnibrmBulldingCodO).
IC. :r.4iw.;.9ivTcEr4!5r IiEpqpi4iiiriitmIrj3iiCrdCia.4ti.C(FJ9iF c I - ,APPLICANT S SIGNATURE - r DATEH. i " ( LII t...... .... .. ...
CE R T IFICATE.OF O CC UPA NCYuNM(Co m mercial.
Fax (760) 6024560, Email buiIdinacasbadca.gov or Mail the completed form to City of Carlsbad, Building Division1635 Faraday Avenue, Carlsbad, California 92008.
-CQ#: (Office Use Only)
CONTACT NAME eer: OCCUPANT NAME .
Fl j
1-1 1 I 11T 11 -
ADDRESS s - •u:e- - BUILDING ADDRESS - ;eiiiuer
- • .....................:•ME E in
IL .._.. .i
CITY ereIr e:...4STATE I:.:.. .0 - - STATE ZIP
Carlsbad CA
PHONE :- F . ........:.. FAX - - . .:• - -C . -, -
Rho-
EMAIL r OCCUPANTS BUS LIC No -
Ex i fpi
"M II I -
DEUVERY OPTIONS
ZIP......CITY
PICK UP: (J( CONTACT (Listed above)- OCCUPANT (Listed abOve)
CONTRACTOR (On Pg. 1) . - - .. --------- -
- . - ASSOCIATED CB# EEO "M
EMAIL TO: WCONTACT (Listed above) OCCUPANT (Listed above)
- CONTRA -s:e- r-e cr-- - NO' CHANGE IN USE / NO CONSTRUCT ON
-
EMAIL/ FAX TO OTHER: ,L .:F I-....-:iJ...... (Y .L.9II
-F CHANGE OF USE / NO CONSTRUCTION R-M .1 Pg ........:..:i;:•:-. -I. - ueeeiirJ
-- - - .- - .:4. u-ei::; : : -e:e :. iui1ieuiFu-uiue1luuii9IiiuiieJ1I I'I$ 211 I M.I jF1
________________________________
..APPLICANT'S SIGNATURE :i:..1U, -. 21 DATE .. I((i1j!ii ------
1
4 -
Inspection. List =
Permit#: CB140031 Type: PME CASTAGNA: REPLACE FURNACE
SAME LOCAL •
Date Inspection Item Inspector Act Comments
07/31/2014 43 AirCond/Furnace Set - RI 1-3 PLS FURNACE
07/31/2014 43, AirCond/Furnace Set PY AP
07/31/2014 49 Final Mechanical - RI 1-3 PLS. FURNANCE
07/31/2014 49 Final Mechanical PY AP
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